| NPI | 1285975383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY KIMBALL Contract Manager 763-349-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: WV 60610) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2024-04-09 |